Evidence map›Paper›PMID 37610882›Full record

ArticleSleep2023

Rest-activity rhythms across the lifespan: cross-sectional findings from the US representative National Health and Nutrition Examination Survey.

Danielle A Wallace, Dayna A Johnson, Susan Redline, Tamar Sofer, Joe Kossowsky

Open access · greenAbstract read
In one paragraph

Article in Sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 43 citations in OpenAlex.

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  16. Circadian-informed modeling predicts regional variation in obesity and stroke outcomes under different permanent US time policies.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Danielle A WallaceDivision of Sleep Medicine, Harvard Medical School, Boston MA, USA.ORCID 0000-0001-7033-2172
Dayna A JohnsonGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID 0000-0002-2617-1639
Susan RedlineDivision of Sleep Medicine, Harvard Medical School, Boston MA, USA.ORCID 0000-0002-6585-1610
Tamar SoferDivision of Sleep Medicine, Harvard Medical School, Boston MA, USA.ORCID 0000-0001-8520-8860
Joe KossowskyDivision of Sleep Medicine, Harvard Medical School, Boston MA, USA.ORCID 0000-0002-6272-6259
Brigham and Women's Hospital · USBoston Children's Hospital · USEmory University · US

Funding

Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
Multilevel Determinants of Circadian Factors and Sleep Disruption: Implications for Cardiometabolic Health Among African-AmericansR01HL157954 · NHLBI · EMORY UNIVERSITY · PI Dayna Johnson · 2022 to 2026
$3.8M
Mobile health applications in adolescent marijuana use: assessing the interplay among sleep, pain and inhibitory control - SupplementK01DA057374 · NIDA · BOSTON CHILDREN'S HOSPITAL · PI Joe Kossowsky · 2023 to 2026
$811k
Investigating relationships between naturalistic light exposure and sleepK99HL166700 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI WALLACE, DANIELLE A. · 2023 to 2024
$330k
NHLBI NIH HHS K99 HL166700NHLBI NIH HHS R01 HL157954NHLBI NIH HHS R35 HL135818NIDA NIH HHS K01 DA057374NIH HHS
6 · The paper itself

Abstract

STUDY

objectivesRest-activity rhythms (RAR) may mark development, aging, and physical and mental health. Understanding how they differ between people may inform intervention and health promotion efforts. However, RAR characteristics across the lifespan have not been well-studied. Therefore, we investigated the association between RAR measures with demographic and lifestyle factors in a US nationally representative study.

methodsRAR metrics of interdaily stability (IS), intradaily variability (IV), relative amplitude (RA), and mean amplitude and timing of high (M10) and low (L5) activity were derived from 2011 to 2012 and 2013 to 2014 National Health and Nutrition Examination Survey (NHANES) actigraphy data. Population-weighted linear and logistic regression models were fit to examine the associations of age, gender, smoking, alcohol, season, body mass index (BMI), income-to-poverty ratio, and race/ethnicity with RAR. Significance was based on a false-discovery rate-corrected P-value of <0.05.

resultsAmong n = 12 526 NHANES participants (3-≥80 years), IS (higher = greater day-to-day regularity) and RA (higher = greater rhythm strength) generally decreased with age and were lower among males, whereas IV (higher = greater rhythm fragmentation) increased with age (p < 0.05). Dynamic changes in RAR trajectories were observed during childhood and adolescence. Income, BMI, smoking, and alcohol use were associated with RAR metrics, as well as season among children and teenagers (p < 0.05). RAR also differed by race/ethnicity (p < 0.05), with trajectories initially diverging in childhood and continuing into adulthood.

conclusionsRAR differed by demographic and health-related factors, representing possible windows for public health intervention and sleep health promotion. RAR differences by race/ethnicity begin in childhood, are evident in early adolescence, and persist throughout adulthood.

Indexed as

Circadian RhythmLongevityActigraphyAdolescentChildCross-Sectional StudiesHumansMaleNutrition SurveysRestSleepactigraphyadolescentadultagedchildcircadiansleep

Identifiers

PMID37610882
PMCPMC10636247
OpenAlexW4386116646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.